Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juanita Ann Gillis

Individual provider Counselor · NPI 1417617762

Juanita Ann Gillis is a Counselor in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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Practice location Address checks out

4431 Tarragon Ln
Decatur, GA 30034-6339
Phone: (404) 216-8104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LPC009660 (GA)

Record details

NPI number1417617762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

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